Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Carolina Cardiology Associates LLC

Carolina Cardiology Associates LLC was paid $1.37M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoCAROLINA CARDIOLOGY ASSOCIATES LLC
ROCK HILL, SC 29732
33aNPI1134166507assigned 06/02/2006
28Total paid$1.37M
24GClaims37,585
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in South Carolina

Rank by total paid#6 of 64
Median peer was paid$3K
This provider vs. median455×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20186,542$187K
20195,926$195K
20205,309$183K
20215,474$211K
20224,441$224K
20234,992$193K
2024incomplete4,901$177K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 39% 13,961 12,680 $535K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 27% 5,871 5,589 $363K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 5,468 5,068 $154K
95810 Polysomnography; sleep staging with 4 or more additional parameters 3.7% 216 207 $50K
95800 2.6% 449 432 $36K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 2.5% 354 329 $34K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.3% 508 452 $31K
93229 2.2% 175 157 $31K
93224 1.8% 583 568 $24K
99490 Ccm add 20min 1.5% 4,700 4,635 $21K
93015 1.4% 775 736 $19K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.3% 717 291 $18K
28 more codes
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose 1.2% 227 $16K
J2785 Injection, regadenoson, 0.1 mg <1% 104 $8K
93880 <1% 109 $5K
93925 <1% 83 $4K
94660 <1% 98 $3K
93296 <1% 412 $3K
93000 <1% 314 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 274 $2K
93970 <1% 38 $2K
93228 <1% 171 $2K
95806 <1% 14 $1K
99204 Doctor's office visit, new patient (more involved) <1% 14 $1K
93298 <1% 187 $1K
93922 <1% 42 $843.85
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 161 $724.98
99497 <1% 21 $420.34
93294 <1% 59 $404.78
93299 <1% 29 $307.08
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 24 $286.94
99442 <1% 13 $231.84
93297 <1% 25 $184.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 47 $179.02
99406 <1% 16 $162.56
99457 <1% 13 $14.29
G2065 Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities 0% 395 $0.00
99426 0% 222 $0.00
99454 0% 13 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 683 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBRYANT, JOY (ADMIN)